With access to health care on the line for 90,000 Nebraskans, OTOC leaders worked hard to expand Medicaid for those with no health insurance. After efforts to secure enough votes to overcome a filibuster in the Nebraska Unicameral proved unsuccessful, OTOC partnered with allies in 2018 to secure a place on the November Midterm ballot for 'Initiative 427' as a way to secure Medicaid Expansion in Nebraska. On November 6, 2018, the effort succeeded.
Over the course of the year, OTOC leaders mobilized 50 individuals who secured 3,500 signatures in the effort to get the initiative on the ballot. OTOC organized 17 civic academies in Omaha congregations and public libraries to help build an educated constituency and, in efforts to educate the public, published seven Opeds, including four in the Omaha World Herald. In the final days leading to the vote, the World Herald selected OTOC to counter final arguments by a team including the former Governor, Attorney General and a member of Koch Brothers Nebraska.
Leaders testified at State hearings, leveraged commitments from winning Congressional candidates to protect Medicaid Expansion if Initiative 427 were to pass, and organized a fall accountability assembly in which all seven Unicameral candidates committed to implementing Medicaid expansion.
Initiative 427 won with a margin of 41,594 votes statewide. Counties where OTOC focused -- Douglas and Sarpy -- were critical to overcoming vote deficits elsewhere. In Douglas County, alone, 111,630 residents voted FOR Initiative 427, approximately one third of the statewide total, and far exceeding the margin of victory.
OTOC leaders are now turning their attention to implementation of Medicaid expansion, to ensure it reaches those who most need it.
Imperative That Nebraska Pass Initiative 427 and Expand Medicaid, Omaha World Herald
Medicaid for Public Health, Omaha World Herald